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. 2020 Dec 16;6(6):1–5. doi: 10.1001/jamacardio.2020.6449

Table. General Characteristics of Children With Congenital Heart Disease (CHD) by Financial Hardship Because of Medical Bills.

Characteristic % (SE)a P valueb
Total CHD population No financial hardship because of medical bills Financial hardship because of medical bills but able to pay Unable to pay medical bills at all
Unweighted, No. 188 94 62 32 NA
Weighted, No. 151 537 77 402 48 301 25 744 NA
Age, mean (SE), y 9.2 (0.2) 9.5 (0.7) 9.3 (0.8) 8.1 (1.3) .37
Sex .32
Male 53.1 (2.3) 56.6 (6.2) 43.5 (8.1) 60.7 (10.7)
Female 46.9 (2.3) 43.4 (6.2) 56.5 (8.1) 39.3 (10.7)
Race/ethnicity .66
White 66.9 (2.4) 65.1 (6.2) 74.8 (6.6) 48.4 (12.6)
Black 10.2 (1.3) 13.3 (5.5) 5.7 (3.6) 9.0 (6.4)
Asian 2.9 (0.2) 3.3 (1.9) 1.0 (1.0) 4.7 (3.0)
Hispanic 20.0 (2.1) 18.3 (4.0) 18.4 (5.8) 27.8 (11.9)
Maternal education .24
Some college or more 65.7 (1.9) 70.1 (5.5) 67.8 (8.6) 47.1 (13.5)
High school or less 34.3 (1.9) 29.9 (5.5) 32.2 (8.6) 52.9 (13.5)
Paternal education .32
Some college or more 72.8 (2.9) 74.2 (6.0) 77.8 (6.8) 54.8 (17.3)
High school or less 27.2 (2.9) 25.8 (6.0) 22.2 (6.8) 45.2 (17.3)
Family income, FPL <.001
<200% 35.3 (1.6) 28.3 (5.6) 21.2 (5.9) 79.1 (12.2)
200%-400% 30.8 (3.0) 26.0 (6.0) 43.1 (8.1) 20.7 (12.2)
>400% 33.9 (2.4) 45.7 (7.0) 35.7 (8.3) 0.2 (0.2)
Insurance status .22
Uninsured 4.8 (2.0) 1.6 (1.6) 3.7 (2.3) 16.1 (11.0)
Medicaid 33.3 (2.2) 33.5 (5.6) 25.8 (6.4) 46.9 (12.3)
Private or other 62.0 (2.5) 64.9 (5.7) 70.5 (6.7) 36.9 (12.8)
Prescription benefits <.001
No 49.6 (2.6) 37.7 (6.0) 48.3 (8.2) 87.6 (6.9)
Yes 50.4 (2.6) 62.3 (6.0) 51.7 (8.2) 12.4 (6.9)
Dependent on medical equipment .22
No 84.6 (1.9) 85.2 (4.2) 89.6 (4.3) 73.2 (10.4)
Yes 15.4 (1.9) 14.8 (4.2) 10.4 (4.3) 26.8 (10.4)
Food security <.001
Secure 78.5 (2.4) 86.4 (4.0) 87.2 (4.7) 38.2 (11.0)
Insecure 21.5 (2.4) 13.6 (4.0) 12.8 (4.7) 61.8 (11.0)
Medication nonadherence because of cost .45
No 97.5 (0.1) 98.7 (1.3) 97.0 (2.2) 94.9 (3.2)
Yes 2.5 (0.1) 1.3 (1.3) 3.0 (2.2) 5.1 (3.2)
Delayed care or failed to obtain care because of cost .002
No 91.5 (2.0) 95.2 (2.5) 94.9 (2.8) 73.8 (10.4)
Yes 8.5 (2.0) 4.8 (2.5) 5.1 (2.8) 26.2 (10.4)

Abbreviations: FPL, federal poverty level; NA, not applicable.

a

Data are presented as column percentages for weighted values. Rao-Scott weighted χ2 tests were used to evaluate differences across categorical variables and weighted linear regression was used to evaluate differences across continuous variables.

b

P values refer to differences between financial hardship groups, not the total CHD population.